Healthcare Provider Details

I. General information

NPI: 1588132732
Provider Name (Legal Business Name): ARTHUR MONTES, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 BIRCH ST WEST TOWER STE 3000
NEWPORT BEACH CA
92660-7100
US

IV. Provider business mailing address

5000 BIRCH ST WEST TOWER STE 3000
NEWPORT BEACH CA
92660-7100
US

V. Phone/Fax

Practice location:
  • Phone: 818-741-6068
  • Fax: 949-576-3913
Mailing address:
  • Phone: 818-741-6068
  • Fax: 949-576-3913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTHUR G MONTES
Title or Position: CEO
Credential: DSW LCSW
Phone: 877-421-1711